| NPI | 1811416399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM AWAD Officer 973-471-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28rs00592100) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-06-16 |